Madamba, Carlos San Pedro
Madamba, Carlos San Pedro is an individual health care provider with primary practice located at 51 N 39Th St , Philadelphia PA 19104-2640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Madamba, Carlos San Pedro can be contacted via phone (856) 906-6273.Contact Information
Primary practice address
51 N 39Th St
Philadelphia PA 19104-2640
Phone: (856) 906-6273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 25MA05508600 | New Jersey |
Profile Details
| NPI number | 1811994866 |
|---|---|
| LBN Legal business name | Madamba, Carlos San Pedro |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2005 |
| Last updated | Sep 7th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811994866 | NPPES |
| New Jersey | MEDICAID | 6042201 |
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